A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?

Inject insulin lispro 15 min before a meal.

Monitor the client for polyuria after the insulin lispro injection.

Check the expiration date after the insulin lispro specification.

Administer using a syringe with no washing.

Answer and Explanation

The Correct Answer is A

Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.

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Correct Answer is B

Explanation

Step 1: Calculate the total infusion time in minutes.

24 hours × (60 minutes/hour) = 1440 minutes.

Step 2: Calculate the infusion rate in mL/min.

1200 mL ÷ 1440 minutes = 0.833 mL/min.

Step 3: Calculate the drop rate in gtt/min.

0.833 mL/min × 15 gtt/mL = 12.495 gtt/min.

Step 4: Round to the nearest whole number.

12.495 ≈ 13 gtt/min.

Answer: 13 gtt/min.

A. Use a 1-inch needle to inject the medication. B. Use a 22-gauge needle to inject the medication. C. Massage the injection site after administration of the medication. D. Inject the medication into the abdomen above the level of the iliac crest.

Correct Answer is D

Explanation

“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.

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A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

Correct Answer is D

Explanation

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A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?